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After a year of isotretinoin therapy significant improvement in acne lesions was observed (Figure 3)

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It has now been found that the use of acetyl L-carnitine in combination with propionyl L-carnitine, or one of their pharmaceutically acceptable salts, enhances the efficacy of drugs known to be useful for the treatment of erectile dysfunction secondary to all those conditions in which there is distress or iatrogenic damage of the lesser pelvis within which the neurovascular bundles of the penis run